Provider Demographics
NPI:1659522761
Name:MATTHEWS CENTER FOR VISUAL LEARNING
Entity Type:Organization
Organization Name:MATTHEWS CENTER FOR VISUAL LEARNING
Other - Org Name:MATTHEWS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEILMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-369-2976
Mailing Address - Street 1:10651 LOMOND DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2808
Mailing Address - Country:US
Mailing Address - Phone:703-369-2976
Mailing Address - Fax:703-366-2777
Practice Address - Street 1:10651 LOMOND DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2808
Practice Address - Country:US
Practice Address - Phone:703-369-2976
Practice Address - Fax:703-366-2777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAWLO-07-1105864251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services